Competitive Compensation & Benefits Package!
Position eligible for -
- Annual incentive bonus plan
- Medical, dental, and vision insurance with low deductible / low cost health plan
- Generous vacation and sick time accrual
- 12 paid holidays
- State Retirement (pension plan)
- 401(k) Plan with employer match
- Company paid life and disability insurance
- Wellness Programs
- Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Office Location : Available for Forsyth / Surry / Statesville NC locations
Closing Date : Open Until Filled
Primary Purpose of Position : The Care Management Extender (CM Extender) is an integral part of Partners team approach to providing Tailored care management. The CM Extender responsibilities focus on assisting the care team to support the member's health care needs and to facilitate and organize appropriate member education, resources and alignment of care. This role provides direct support to the member through a collaborative role with the Innovations Care Manager or I / DD Care Manager Care Management Extenders complete supportive activities, inclusive of in-person support for member when indicated. Travel is an essential function of this position.
Role and Responsibilities :
Duties of the I / DD Care Management Extender include, but are not limited to, the following :
General Outreach and Engagement / Service Monitoring
Assist with scheduling and coordinating appointments (e.g., assistance with scheduling appointments, providing wellness reminders, assistance arranging transportation, confirming participation in scheduled appointments, etc)Provide outreach to members to provide information about a community resource or supportEngage members in health promotion activities and knowledge sharingAssist with identifying residential vacancies which may meet needs of memberSubmit and track referrals in NCCARE360 database to connect members to community service providerAssist the care manager in monitoring consistency of service delivery, as triggered by threshold reports or requests from care managersReview service documentation to monitor progress toward individualized goals and fulfillment of the intent of the service authorizedProvide back-up in-person monitoring support, as needed, for members in the NC Innovations waiverBenefits Consultation and Support to Members
Ensure members know what benefits they are eligible to receive, with assistance to enroll in benefit plans as neededSupport member in navigating the DSS systems including but not limited to Medicaid reviews and applications, continued eligibility requirements, disability benefits through the Social Security AdministrationCommunicate with Medicaid and Medicare benefit program Case Managers to resolve issuesAssist with Medicaid C enrollment reconciliation and working with DSS to address IN indicator issuesNotify DSS of benefit issues and develop action plan to resolveIntensive Support (telephonic and in-person)
Provide more intense telephonic or in-person support to members identified by care manager as needing support to address unmet health-related resource needs or other community resource needs. This assistance includes, but is not limited to, the following :Assist with understanding processes and provide needed support related to guardianship, establishing alternatives to guardianship, restoration of rightsProvide education about appropriate rights and how to request accommodations related to housing, employment, education, etcAssist with the development of life related emergency plansProvide in-person support to member with completion of applications for housing, food, transportation vouchers, childcare assistance programs in the communities where the member lives and works, and monitors successful linkage to resourcesAssist with housing needs (e.g., Identifying options for renting or purchasing a personal residence, assisting with purchasing furnishings for the personal residence, developing a housing support crisis plan that includes prevention / early intervention services when housing is jeopardized, etc)Collaboration with the Care Team and Provider Networks
Attend huddles and meetings related to care planning and provider engagement, as neededNotify Care Manager of any new service needs identified during contacts / service monitoringShare information with the care manager and other members of the care team on the member's circumstances (e.g. alerting care team members of an unexpected move, need or other event)Knowledge, Skills, and Abilities :
Basic knowledge of the Medicaid service systemWorking knowledge of the evaluation, care and treatment of people with intellectual & developmental disabilities, mental health and co-occurring disorders.Knowledge of community resourcesGood organizational skills and ability to handle multiple priorities and deadlinesMust be able to prioritize and cope with stress in a positive mannerAbility to communicate effectively both verbally and in writing with member and care teamProficient in Microsoft Office and web-based applicationsSolid verbal and written communication skillsAbility to maintain confidentialityAbility to work effectively and cooperatively with people from diverse backgrounds Demonstrates flexibility in organizational needs to perform other duties as assignedAbility to negotiate and resolve conflictEducation / Experience Required :
High school diploma or equivalentAND
Meets one of the following requirements :A person with lived experience with an I / DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system
A parent or guardian of an individual with an I / DD or a TBI and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individualHas 2 years of paid experience performing the types of functions described and with at least one year of paid experience working directly with the LTSS populationAND
Must reside in North CarolinaMust have ability to travel regularly as needed to perform job dutiesEducation / Experience Preferred : Experience working with individuals with co-occurring physical health and / or behavioral health needs preferred.
Licensure / Certification Requirements : N / A